Wisconsin
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

OBRA 93 claim filing for Federal Employee Program

September 2022 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) Sep 1, 2022

Keep up with Medicaid News - September 2022

- Clinical criteria updates
September 2022 Anthem Provider News - Wisconsin Medicaid Sep 1, 2022

New Digital Provider Enrollment tool added to Availity

September 2022 Anthem Provider News - Wisconsin Medicaid Sep 1, 2022

Reimbursement policy update: Modifiers 25 and 57 - Evaluation and Management with Global Procedures

September 2022 Anthem Provider News - Wisconsin Medicaid Sep 1, 2022

Enhancing claims attachment processes through digital applications

September 2022 Anthem Provider News - Wisconsin Medicaid Sep 1, 2022

Complex Case Management program

September 2022 Anthem Provider News - Wisconsin Medicaid Sep 1, 2022

New specialty pharmacy medical step therapy requirements

September 2022 Anthem Provider News - Wisconsin Medicaid Sep 1, 2022

Alcohol use disorders linked to chronic diseases

September 2022 Anthem Provider News - Wisconsin Medicaid Sep 1, 2022

Enhancing claims attachment processes through digital applications

September 2022 Anthem Provider News - Wisconsin Medicare Sep 1, 2022

Keep up with Medicare News - September 2022

- Anthem expands specialty pharmacy precertification list
- Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ

 

September 2022 Anthem Provider News - Wisconsin Medicare Sep 1, 2022

Reminder: AIM prior authorization phone number change for Medicare

September 2022 Anthem Provider News - Wisconsin Medicare Sep 1, 2022

Prior authorization requirement changes effective December 1, 2022

September 2022 Anthem Provider News - Wisconsin Medicare Sep 1, 2022

Anthem expands specialty pharmacy precertification list

September 2022 Anthem Provider News - Wisconsin Medicare Sep 1, 2022

Reimbursement policy update: Modifiers 25 and 57 - Evaluation and Management with Global Procedures

September 2022 Anthem Provider News - Wisconsin Medicare Sep 1, 2022

Keep up with Medicaid News - August 2022

- Specialty pharmacy site of care
- Upgraded data management system launches August 2022
August 2022 Anthem Provider News - Wisconsin Medicaid Aug 1, 2022

We are here

August 2022 Anthem Provider News - Wisconsin Medicaid Aug 1, 2022

HEDIS 2022: Summary of changes from NCQA

August 2022 Anthem Provider News - Wisconsin Medicaid Aug 1, 2022

Prior authorization requirement changes effective November 1, 2022

August 2022 Anthem Provider News - Wisconsin Medicaid Aug 1, 2022

Chlamydia screening

August 2022 Anthem Provider News - Wisconsin Medicaid Aug 1, 2022

Using SBIRT to address opioid and substance use disorders

August 2022 Anthem Provider News - Wisconsin Medicaid Aug 1, 2022

The cost of alcohol use disorder

August 2022 Anthem Provider News - Wisconsin Medicaid Aug 1, 2022

Cataract awareness

August 2022 Anthem Provider News - Wisconsin Medicaid Aug 1, 2022

Keep up with Medicare News - August 2022

- Upgraded data management system launches August 2022
August 2022 Anthem Provider News - Wisconsin Medicare Aug 1, 2022

Keep up with Medicare News - July 2022

- New specialty pharmacy medical step therapy requirements
July 2022 Anthem Provider News - Wisconsin Medicare Jul 1, 2022

Update use of Modifier 25 for billing for visits that include preventive services and problem-oriented evaluation and management services

July 2022 Anthem Provider News - Wisconsin Medicare Jul 1, 2022

Cancer Care Navigator

July 2022 Anthem Provider News - Wisconsin Medicare Jul 1, 2022

Keep up with Medicaid News - July 2022

July 2022 Anthem Provider News - Wisconsin Medicaid Jul 1, 2022

Prior authorization requirement changes effective August 1, 2022

July 2022 Anthem Provider News - Wisconsin Medicaid Jul 1, 2022

MCG care guidelines 26th edition

July 2022 Anthem Provider News - Wisconsin Medicaid Jul 1, 2022

New Strategic Provider System will launch in August 2022

July 2022 Anthem Provider News - Wisconsin Medicaid Jul 1, 2022

Update use of Modifier 25 for billing for visits that include preventive services and problem-oriented evaluation and management services

July 2022 Anthem Provider News - Wisconsin Medicaid Jul 1, 2022

New Strategic Provider System will launch in August 2022

July 2022 Anthem Provider News - Wisconsin Medicare Jul 1, 2022

MCG care guidelines 26th edition

July 2022 Anthem Provider News - Wisconsin Medicare Jul 1, 2022

Keep up with Medicaid News - June 2022

- Updates to AIM Specialty Health Musculoskeletal Clinical Appropriateness Guidelines
- Prior authorization update for select durable medical equipment (DME) items
- Prior authorization updates for medications billed under the medical benefit
- Updates to AIM Specialty Health Sleep Disorder Management Clinical Appropriateness Guidelines
June 2022 Anthem Provider News - Wisconsin Medicaid Jun 1, 2022

Evaluation and management services for COVID testing - professional

June 2022 Anthem Provider News - Wisconsin Medicaid Jun 1, 2022

New Strategic Provider System will launch in August 2022

June 2022 Anthem Provider News - Wisconsin Medicaid Jun 1, 2022

Medical drug benefit clinical criteria updates

June 2022 Anthem Provider News - Wisconsin Medicaid Jun 1, 2022

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines

June 2022 Anthem Provider News - Wisconsin Medicaid Jun 1, 2022

Process change for Federal Employee Program third-party correspondence requests

June 2022 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) Jun 1, 2022

Authorizations for post-acute care services for Medicare Advantage individual, Group Retiree Solutions (GRS), and Dual-Eligible Plan members

June 2022 Anthem Provider News - Wisconsin Medicare Jun 1, 2022

Keep up with Medicare News - June 2022

June 2022 Anthem Provider News - Wisconsin Medicare Jun 1, 2022

Evaluation and management services for COVID testing - professional

June 2022 Anthem Provider News - Wisconsin Medicare Jun 1, 2022

Medical drug benefit clinical criteria updates

June 2022 Anthem Provider News - Wisconsin Medicare Jun 1, 2022

Medical policies and clinical utilization management guidelines update

June 2022 Anthem Provider News - Wisconsin Medicare Jun 1, 2022

Keep up with Medicaid News - May 2022

- AIM Specialty Health Outpatient Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines updates
- Prior authorization requirement change for HCPCS code K1022
- New specialty pharmacy medical step therapy requirements-March 2022
May 2022 Anthem Provider News - Wisconsin Medicaid May 1, 2022

Screening for alcohol use disorder in high-prevalence demographics

May 2022 Anthem Provider News - Wisconsin Medicaid May 1, 2022

Keep up with Medicare News - May 2022

- Anthem expands specialty pharmacy precertification list-March 2022 update
- Anthem expands specialty pharmacy precertification list-April 2022 update
- New specialty pharmacy medical step therapy requirements-May 2022 update
May 2022 Anthem Provider News - Wisconsin Medicare May 1, 2022

Convenient, reliable at-home testing for colorectal cancer and diabetes care

May 2022 Anthem Provider News - Wisconsin Medicare May 1, 2022

HEDIS 2022: summary of changes from NCQA

May 2022 Anthem Provider News - Wisconsin Medicare May 1, 2022

New specialty pharmacy medical step therapy requirements-March 2022 update

May 2022 Anthem Provider News - Wisconsin Medicare May 1, 2022

CORRECTION: Save time tomorrow by using CPT II codes today: Introducing the FEP Quality Reimbursement Program for PPO providers

May 2022 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) May 1, 2022

Join us for an FEP Quality Learning Program live webinar

May 2022 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) May 1, 2022

The Anthem, Inc. name is changing

April 2022 Anthem Provider News - Wisconsin Medicaid Apr 1, 2022

Keep up with Medicaid News - April 2022

- Medical policies and clinical utilization management guidelines update
- Phone number change for AIM in Wisconsin
- Medical drug benefit clinical criteria updates
- Specialty pharmacy site of care program retraction
- Prior authorization updates for medications billed under the medical benefit
April 2022 Anthem Provider News - Wisconsin Medicaid Apr 1, 2022

Reimbursement policy update: Inpatient readmissions

April 2022 Anthem Provider News - Wisconsin Medicaid Apr 1, 2022

Disease Management/Population Health program

April 2022 Anthem Provider News - Wisconsin Medicaid Apr 1, 2022

Clinical Criteria updates

April 2022 Anthem Provider News - Wisconsin Medicaid Apr 1, 2022

Evaluation and management documentation guidelines

April 2022 Anthem Provider News - Wisconsin Medicaid Apr 1, 2022

Save time by using CPT II codes: Introducing FEP Quality Reimbursement Program for PPO providers

April 2022 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) Apr 1, 2022

The Anthem, Inc. name is changing

April 2022 Anthem Provider News - Wisconsin Medicare Apr 1, 2022

Keep up with Medicare News - April 2022

- Medical Policies and Clinical Utilization Management Guidelines update
- AIM Specialty Health Outpatient Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines updates
- Anthem expands specialty pharmacy precertification list
April 2022 Anthem Provider News - Wisconsin Medicare Apr 1, 2022

Implementation update for the NYC Medicare Advantage Plus plan, an alliance between Empire BlueCross BlueShield and EmblemHealth

April 2022 Anthem Provider News - Wisconsin Medicare Apr 1, 2022

Reimbursement policy update: Inpatient readmissions

April 2022 Anthem Provider News - Wisconsin Medicare Apr 1, 2022

The impact of listening

April 2022 Anthem Provider News - Wisconsin Medicare Apr 1, 2022

Clinical Criteria updates

April 2022 Anthem Provider News - Wisconsin Medicare Apr 1, 2022

Evaluation and management documentation guidelines

April 2022 Anthem Provider News - Wisconsin Medicare Apr 1, 2022

Model of Care required training

April 2022 Anthem Provider News - Wisconsin Medicare Apr 1, 2022

Implementation update for the NYC Medicare Advantage Plus plan, an alliance between Empire BlueCross BlueShield and EmblemHealth

City of New York Retirees will NOT transition to NYC Medicare Advantage Plus on April 1, 2022. Additional updates on a new effective date will be made available at a later date. Read important information about this change here.
Transition to NYC Medicare Advantage Plus Delayed - Wisconsin Medicare Mar 15, 2022

Change to the Federal Employee Program clinical grievance and appeal address

March 2022 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) Mar 1, 2022

It is CAHPS survey time!

March 2022 Anthem Provider News - Wisconsin Medicaid Mar 1, 2022

Evaluation and management services correct coding reminder (professional)

March 2022 Anthem Provider News - Wisconsin Medicaid Mar 1, 2022

Urinary tract infection toolkits are on the way

March 2022 Anthem Provider News - Wisconsin Medicaid Mar 1, 2022

Keep up with Medicare News - March 2022

- Medical step therapy updates
- Phone number change for AIM in Wisconsin
March 2022 Anthem Provider News - Wisconsin Medicare Mar 1, 2022

HEDIS 2022 Federal Employee Program medical record request requirements

March 2022 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) Mar 1, 2022

Annual wellness visits for Medicare Advantage members

March 2022 Anthem Provider News - Wisconsin Medicare Mar 1, 2022

Pharmacy: Medication adherence

March 2022 Anthem Provider News - Wisconsin Medicare Mar 1, 2022

Evaluation and management services correct coding reminder (professional)

March 2022 Anthem Provider News - Wisconsin Medicare Mar 1, 2022

Clinical criteria updates

March 2022 Anthem Provider News - Wisconsin Medicare Mar 1, 2022

Provider notification for utilization management authorization rule operations workgroup item 2662

March 2022 Anthem Provider News - Wisconsin Medicare Mar 1, 2022

Keep up with Medicaid News - February 2022

- Prior authorization updates for medications billed under the medical benefit
February 2022 Anthem Provider News - Wisconsin Medicaid Feb 1, 2022

Get faster payments with EFT

February 2022 Anthem Provider News - Wisconsin Medicaid Feb 1, 2022

2021 CAHPS survey results

February 2022 Anthem Provider News - Wisconsin Medicaid Feb 1, 2022

Cancer Care Navigator

February 2022 Anthem Provider News - Wisconsin Medicaid Feb 1, 2022

Keep up with Medicare News - February 2022

- NYC Medicare Advantage Plus update
February 2022 Anthem Provider News - Wisconsin Medicare Feb 1, 2022

School District of West Allis West Milwaukee offers Medicare Advantage option to retirees

February 2022 Anthem Provider News - Wisconsin Medicare Feb 1, 2022

Get faster payments with EFT

February 2022 Anthem Provider News - Wisconsin Medicare Feb 1, 2022

Submitting prior authorizations is getting easier

January 2022 Anthem Provider News - Wisconsin Medicare Jan 1, 2022

2022 FEP benefit information available online

January 2022 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) Jan 1, 2022

Keep up with Medicaid News - January 2022

- AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines updates
- Specialty pharmacy site of care
- Prior authorization updates for medications billed under the medical benefit
January 2022 Anthem Provider News - Wisconsin Medicaid Jan 1, 2022

The Behavioral Health Areas of Expertise Profile improves the referral process

January 2022 Anthem Provider News - Wisconsin Medicaid Jan 1, 2022

Botox update for Anthem members

January 2022 Anthem Provider News - Wisconsin Medicaid Jan 1, 2022

Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting

January 2022 Anthem Provider News - Wisconsin Medicaid Jan 1, 2022

Submitting prior authorizations is getting easier

January 2022 Anthem Provider News - Wisconsin Medicaid Jan 1, 2022

Keep up with Medicare News - January 2022

- AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines update
- Medical step therapy updates
- Anthem expands specialty pharmacy precertification list
January 2022 Anthem Provider News - Wisconsin Medicare Jan 1, 2022

Important update on Botox® for Anthem Medicare members

January 2022 Anthem Provider News - Wisconsin Medicare Jan 1, 2022

Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting

January 2022 Anthem Provider News - Wisconsin Medicare Jan 1, 2022

Keep up with Medicaid News - December 2021

  • Durable medical equipment prior authorization requirement changes effective December 1, 2021
  • Updates to AIM Specialty Health musculoskeletal interventional pain management clinical appropriateness guideline
  • Medical drug benefit Clinical Criteria updates
  • Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines
December 2021 Anthem Provider News - Wisconsin Medicaid Dec 1, 2021

Medical policies and clinical utilization management guidelines update

December 2021 Anthem Provider News - Wisconsin Medicaid Dec 1, 2021

Prior authorization requirement changes effective December 1, 2021

December 2021 Anthem Provider News - Wisconsin Medicaid Dec 1, 2021

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

December 2021 Anthem Provider News - Wisconsin Medicaid Dec 1, 2021
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